Key result
HOSPITAL score marginally outperforms LACE score for predicting 30-day readmissions, though both show poor calibration.
Why the study?
Do the HOSPITAL and LACE scores accurately predict 30-day readmissions in an international medical patient population?
Population
19,277 patients admitted to the medical admission unit at two hospitals, median age 67, 46.6% female.
Design
Cohort
Follow-up
30 days
Authors
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Modest discrimination and poor calibration of both scores warrant clinical caution; leaves open development of improved readmission predictors.
Cohort (n=19,277)
Yes
Do the HOSPITAL and LACE scores accurately predict 30-day readmissions in an international medical patient population?
p-value: p=< 0.001
Both the HOSPITAL and LACE scores showed only modest discriminatory power for predicting 30-day readmissions in a European medical cohort, highlighting the difficulty of using simple international prediction tools.
Cooksley et al. (2015) conducted a cohort in Medical admissions (n=19,277). HOSPITAL score vs. LACE score was evaluated on 30 day readmissions (p=< 0.001). The HOSPITAL score (discriminatory power 0.661) was significantly better than the LACE score (0.648) for predicting 30-day readmissions (P<0.001), although both exhibited poor calibration.
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